Organization Active NPI

Arbor Place of Puryear

  • Skilled Nursing Facility
  • Puryear, TN
National Provider Identifier
1932246386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000130 Issued in TN
Legal business name
ARBOR PLACE OF PURYEAR
Practice address
223 W Chestnut St
Puryear, TN 38251-5800
Phone
(731) 247-3205
Fax
(731) 247-5205
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Sells
Title
President
Phone
(636) 536-5365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0000000130 TN Primary

Addresses

Primary practice location

223 W Chestnut St
Puryear, TN 38251-5800

Mailing address

223 W Chestnut St
PO Box 306
Puryear, TN 38251-5800
Phone (731) 247-3205

Other identifiers 1

IdentifierTypeStateIssuer
7440575MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Arbor Place of Puryear2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932246386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W CHESTNUT ST",
            "address_2": "PO BOX 306",
            "city": "PURYEAR",
            "state": "TN",
            "postal_code": "382515800",
            "telephone_number": "731-247-3205",
            "fax_number": "731-247-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W CHESTNUT ST",
            "city": "PURYEAR",
            "state": "TN",
            "postal_code": "382515800",
            "telephone_number": "731-247-3205",
            "fax_number": "731-247-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR PLACE OF PURYEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-536-5365",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440575",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puryear, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.